Primary Eye Care Associates

LBN: Primary Eye Care Associates
Primary Eye Care Associates is an health care organization with primary practice located at 303 Teaco Rd , Kennett MO 63857-3237. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Primary Eye Care Associates can be contacted via phone (573) 888-5896, or through Miller, Merrill Thomas via phone (573) 888-5896.

Contact Information

Primary practice address
303 Teaco Rd Kennett MO 63857-3237
Phone: (573) 888-5896
Fax: (573) 888-1501
Website:
Map and Directions
Authorized official contact:
Name: Miller, Merrill Thomas Doctor of Optometry (OD)
Phone: (573) 888-5896

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X T02701 Missouri

Profile Details

NPI number 1053458380
LBN Legal business name Primary Eye Care Associates
DBA Doing business as
Authorized official Miller, Merrill Thomas Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053458380 NPPES
Missouri Other 191843 BLUE CROSS BLUE SHIELD
Missouri Other 5514370001 BLUE CROSS BLUE SHIELD

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